This is a Cooperative Dental Plan. If your membership fee is not returned thru Plan Savings, we are not meeting our minimum goal. We seek member feedback on dental fees and all aspects of the plan. Savings shown for Diagnostic and Preventive visits alone should cover all or most of membership cost. Utilization of additional Dental Services or Coordination of Benefits with conventional dental insurance plans should result in greater savings.
To track plan utilization and member savings, NYDN may ask participating dentists to document NYDN fees actually charged, compared to usual and customary fees. NYDN may remit an administrative fee to dentists for this service, where applicable. Results of this fee survey will be made available to dentists and members to illustrate the cost effectiveness of this plan. For reasons of confidentiality, NYDN never collects or distributes medical or dental information; we are concerned only with fee information.
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| Note: For some procedures listed on this schedule we have posted an alternate, higher fee that may apply at certain Manhattan practice locations only. Please consult with your dentist about this. |
Dentists: Please Verify Member Status at each member visit.
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Orthodontic Rates & Procedures Services are provided by an Orthodontist,
a Specialist with additional training in this field.
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Regional Fee
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Network Fee
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Typical Network Savings |
Typical % Savings |
| Orthodontic (malocclusion) rates and procedures shown include oral exam, x-rays, models, records, post-treatment retainer, and lab fees, etc. |
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| Orthodontic Fee range shown reflects variation in treatment for adult and juvenile malocclusion, and choice of materials used. Dentist will confirm UCR fee upon request, and will offer comparable network rate reduction for variations, where applicable. |
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Malocclusion, comprehensive care. Braces, stainless steel. |
$4400 - $6100 |
$4200 - $4700 |
$800 |
15% |
Malocclusion, comprehensive care. Braces, ceramic/clear composite. |
$5200 - $6500 |
$4700 - $5500 |
$700 |
12% |
Malocclusion, comprehensive care. Braces, clear, removable and (invisible). |
$6000 - $7200 |
$5400 - $6150 |
$820 |
13% |
| Space Maintainer (fixed or removable) |
$400 - $650 |
$275 - $375 |
$200 |
38% |
| Interceptive Orthodontic Treatment (palatal expansion) |
$850 - $1000 |
$700 - $750 |
$200 |
22% |
| Note: If other Interceptive Orthodontic Treatment is indicated, similar network fee reductions will apply in most or all cases. Please consult with your dentist. |
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| X-Ray Panorex |
$125 |
$85 |
$40 |
32% |
| X-Ray Full Mouth, Including Bitewings (complete) |
$115 - $165 |
$85 |
$60 |
39% |